Kimberley Nicole Longmire, LACTATION COUNSELOR

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

205 Micanopy CT
Indian Harbour Beach, FL 32937-3532

Phone

(859) 967-3020

NPI assigned

Nov 18, 2015

Last updated

Apr 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1467826172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MICANOPY CT",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373532",
            "telephone_number": "859-967-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MICANOPY CT",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373532",
            "telephone_number": "859-967-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Saint Johns St",
            "address_purpose": "LOCATION",
            "city": "Cocoa",
            "state": "FL",
            "postal_code": "329227241",
            "country_code": "US",
            "telephone_number": "321-639-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGMIRE",
        "first_name": "KIMBERLEY",
        "middle_name": "NICOLE",
        "credential": "LACTATION COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2022-04-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Non-RN) in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Lactation Consultant (Non-RN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.